Cer.A.T.T. study materials
Cer.A.T.T. study resources

Cer.A.T.T. study plan

Cer.A.T.T. · Give each week a clear focus.

8 weeks · About 7 hours per week

Week 1

Anesthesia Equipment and Instrumentation

  • Diagram the anesthesia machine from gas supply to scavenging, labeling every component and its failure mode from memory

  • Differentiate the function and testing steps of the oxygen failure protection device, fail-safe valve, and proportioning system

  • Trace the low-pressure and high-pressure leak test procedures step by step and state the pass criteria for each

  • Catalog the airway and monitoring adjuncts in a standard anesthesia cart by category and state one inspection checkpoint per item

Your checkpoint

A one-page annotated machine schematic plus a 25-row equipment inspection checklist covering machine, vaporizers, ventilator, suction, and cart contents

Week 2

Anesthesia Equipment and Instrumentation & Patient Monitoring and Physiologic Data Interpretation

  • Explain the operating principles and common failure modes of the anesthesia ventilator bellows, CO2 absorber, and waste gas scavenging interface

  • Calculate delivered tidal volume and minute ventilation from set parameters and identify when a change signals a circuit or machine fault

  • Interpret capnography waveforms by naming the phase and the physiologic or equipment cause of each abnormality

  • Correlate pulse oximetry, blood pressure, and ECG tracings with the equipment artifacts that mimic or mask true physiologic change

Your checkpoint

A two-column troubleshooting log matching 20 equipment faults to the monitoring signature each produces, with the corrective action for each

Week 3

Patient Monitoring and Physiologic Data Interpretation & Anesthesia Pharmacology and Medication Management

  • Interpret arterial blood gas values to classify acidosis, alkalosis, and compensation states, then state the anesthetic implication of each

  • Calculate drug doses, infusion rates, and dilution volumes for weight-based agents without a calculator aid

  • Compare the onset, duration, metabolism, and reversal pathway of the common induction agents, opioids, and neuromuscular blockers

  • Identify the monitoring parameters that must be reassessed after each dose of a vasoactive or anesthetic agent

Your checkpoint

A 30-item calculation and interpretation worksheet (drug dosing plus ABG analysis) completed with shown work and a self-scored answer key

Week 4

Anesthesia Pharmacology and Medication Management & Airway Management and Respiratory Support

  • Sequence the steps of a predicted difficult airway management plan and state the backup device for each failed step

  • Distinguish the indications, contraindications, and confirmation methods for supraglottic airways, endotracheal tubes, and surgical airways

  • Match high-alert medication hazards to the labeling, double-check, and storage controls that mitigate them

  • Rehearse failed-intubation and cannot-ventilate decision points aloud using a cognitive aid

Your checkpoint

A written difficult-airway algorithm decision tree plus a medication safety control table covering at least 10 high-alert agents

Week 5

Airway Management and Respiratory Support & Infection Prevention and Aseptic Technique

  • Demonstrate the correct sequence for donning and doffing PPE and identify the contamination points at each step

  • Apply Spaulding classification to categorize reusable anesthesia equipment and assign the correct reprocessing level

  • Outline the chain of infection controls that apply to invasive monitor lines, breathing circuits, and laryngoscope blades

  • Explain the ventilation and respiratory support modes used postoperatively and match each to a patient presentation

Your checkpoint

A step-by-step PPE and equipment reprocessing reference card with a self-audit checklist of 15 compliance points

Week 6

Patient Safety, Quality Improvement, and Regulatory Compliance & Professional Practice, Communication, and Documentation

  • Map each frequently cited regulatory and accreditation requirement to the daily practice behavior that satisfies it

  • Construct a root-cause analysis outline for a simulated medication error or equipment failure event

  • Draft a complete anesthesia record entry that meets documentation, informed consent, and handoff standards

  • Apply a structured communication tool to deliver a patient handoff and an error disclosure statement

Your checkpoint

A portfolio containing one mock RCA summary, one fully documented sample anesthesia record, and one written handoff script

Week 7

Emergency Preparedness and Crisis Response & Anesthesia Equipment and Instrumentation & Patient Monitoring and Physiologic Data Interpretation

  • Rank crisis events by time-to-harm and state the first three actions for malignant hyperthermia, anaphylaxis, and laryngospasm

  • Assemble and verbalize the contents and use sequence of a malignant hyperthermia and a difficult-airway crisis cart

  • Re-drill machine checkout and monitor interpretation under timed conditions to rebuild speed on the heaviest domains

  • Identify the escalation triggers and role assignments for a crisis response team activation

Your checkpoint

A timed crisis drill log recording three scenarios, your first-three-actions accuracy, and the machine checkout completion time

Week 8

Anesthesia Equipment and Instrumentation & Patient Monitoring and Physiologic Data Interpretation & Anesthesia Pharmacology and Medication Management & Airway Management and Respiratory Support

  • Complete full-length practice sets weighted to the exam blueprint and score each domain separately

  • Re-teach every missed item from the four heaviest domains in writing before re-testing it

  • Consolidate the highest-yield facts from Domains 5 through 8 into a single rapid-review sheet

  • Simulate exam-day pacing across two timed blocks with a scheduled break between them

Your checkpoint

A final score report by domain with a remediation list of no more than 20 items, all resolved and re-tested

Milestones

Week 2: Label a blank anesthesia machine diagram and pass a self-administered equipment safety quiz at 80 percent or higher

Week 4: Score at least 75 percent on a mixed Domain 1 through 4 question set and complete the difficult-airway algorithm without reference materials

Week 6: Complete all three professional practice portfolio artifacts and score at least 80 percent on Domains 5 through 7 items

Week 8: Achieve an overall practice score of 80 percent or higher with no single domain below 70 percent